SKIN BARRIER WIPE (14521)    VA PRODUCT (50.68)

Name Value
NAME SKIN BARRIER WIPE
VA GENERIC NAME BARRIER
DOSAGE FORM PAD
NATIONAL FORMULARY NAME BARRIER PAD
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SKIN BARRIER WIPE
VA PRODUCT IDENTIFIER XY312
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4014885
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE